Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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Medicolegal Death Investigation (MDI) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mdi-ig/ and changes regularly. See the Directory of published versions

: Bundle - MDI and EDRS - Freeman - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-mdi-and-edrs-a-freeman"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-and-edrs"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:933dde44f7664b03a20b6324f23986c0"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2022-01-04T08:51:14.637+00:00"/>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Composition/composition-mdi-and-edrs-a-freeman"/>
    <resource>
      <Composition>
        <id value="composition-mdi-and-edrs-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_composition-mdi-and-edrs-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Composition composition-mdi-and-edrs-a-freeman</b></p><a name="composition-mdi-and-edrs-a-freeman"> </a><a name="hccomposition-mdi-and-edrs-a-freeman"> </a><a name="composition-mdi-and-edrs-a-freeman-en-US"> </a><p><b>Extension - Tracking Number</b>: Birth Certificate/ME21-113</p><p><b>identifier</b>: a03eab8c-11e8-4d0c-ad2a-b385395e27de</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 86807-5}">Death administrative information Document</span></p><p><b>date</b>: 2022-02-20</p><p><b>author</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>title</b>: MDI to EDRS Composition</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Professional</td><td><a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number">
          <valueIdentifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="BCT"/>
              </coding>
            </type>
            <value value="ME21-113"/>
          </valueIdentifier>
        </extension>
        <identifier>
          <value value="a03eab8c-11e8-4d0c-ad2a-b385395e27de"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="86807-5"/>
            <display value="Death administrative information Document"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <date value="2022-02-20"/>
        <author>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </author>
        <title value="MDI to EDRS Composition"/>
        <attester>
          <mode value="professional"/>
          <party>🔗 
            <reference value="Practitioner/vr-practitioner-s-jones"/>
          </party>
        </attester>
        <section>
          <title value="Additional Demographic Information Section"/>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
              <code value="demographics"/>
            </coding>
          </code>
          <text>
            <status value="additional"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><p>No additional demographic information</p></div>
          </text>
        </section>
        <section>
          <title value="Circumstances Section"/>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
              <code value="circumstances"/>
            </coding>
          </code>
          <entry>🔗 
            <reference
                       value="Location/vrdr-death-location-atlanta-ga-a-freeman"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/vrdr-tobacco-use-a-freeman"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/vrdr-decedent-pregnancy-status-a-freeman"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Location/vrdr-injury-location-atlanta-ga-a-freeman"/>
          </entry>
        </section>
        <section>
          <title value="Jurisdiction Section"/>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
              <code value="jurisdiction"/>
            </coding>
          </code>
          <entry>🔗 
            <reference value="Observation/vrdr-death-date-a-freeman"/>
          </entry>
          <entry>🔗 
            <reference value="Procedure/vrdr-death-certification-a-freeman"/>
          </entry>
        </section>
        <section>
          <title value="Cause and Manner of Death Section"/>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
              <code value="cause-manner"/>
            </coding>
          </code>
          <entry>🔗 
            <reference
                       value="Observation/observation-mdi-cause-of-death-part1-a-freeman"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/vrdr-cause-of-death-part2-a-freeman"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/vrdr-manner-of-death-a-freeman-accidental"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/vrdr-injury-incident-a-freeman-med-ingest"/>
          </entry>
        </section>
        <section>
          <title value="Medical History Section"/>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
              <code value="medical-history"/>
            </coding>
          </code>
          <text>
            <status value="additional"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><p>No Medical History information</p></div>
          </text>
          <emptyReason>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
              <code value="unavailable"/>
              <display value="Unavailable"/>
            </coding>
            <text value="Decedent's medical history not available"/>
          </emptyReason>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/vrdr-injury-incident-a-freeman-med-ingest"/>
    <resource>
      <Observation>
        <id value="vrdr-injury-incident-a-freeman-med-ingest"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-injury-incident-a-freeman-med-ingest"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-injury-incident-a-freeman-med-ingest</b></p><a name="vrdr-injury-incident-a-freeman-med-ingest"> </a><a name="hcvrdr-injury-incident-a-freeman-med-ingest"> </a><a name="vrdr-injury-incident-a-freeman-med-ingest-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 11374-6}">Injury incident description Narrative</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: <code>Partial Date Time Vital Records: </code></p><p><b>performer</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title="Codes:">drug toxicity</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69444-8}">Did death result from injury at work</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69450-5}">Place of injury Facility</span></p><p><b>value</b>: <span title="Codes:">Private house</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69451-3}">Transportation role of decedent</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor NA}">not applicable</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11374-6"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr">
            <extension url="day">
              <valueUnsignedInt value="8"/>
            </extension>
            <extension url="month">
              <valueUnsignedInt value="1"/>
            </extension>
            <extension url="year">
              <valueUnsignedInt value="2022"/>
            </extension>
            <extension url="time">
              <valueTime>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                  <valueCode value="unknown"/>
                </extension>
              </valueTime>
            </extension>
          </extension>
        </effectiveDateTime>
        <performer>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </performer>
        <valueCodeableConcept>
          <text value="drug toxicity"/>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69444-8"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
              <display value="No"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69450-5"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <text value="Private house"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69451-3"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
              <code value="NA"/>
              <display value="not applicable"/>
            </coding>
            <text value="not applicable"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/vrdr-manner-of-death-a-freeman-accidental"/>
    <resource>
      <Observation>
        <id value="vrdr-manner-of-death-a-freeman-accidental"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-manner-of-death-a-freeman-accidental"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-manner-of-death-a-freeman-accidental</b></p><a name="vrdr-manner-of-death-a-freeman-accidental"> </a><a name="hcvrdr-manner-of-death-a-freeman-accidental"> </a><a name="vrdr-manner-of-death-a-freeman-accidental-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69449-7}">Manner of death</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: 2022-01-08</p><p><b>performer</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 7878000}">Accidental death</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69449-7"/>
            <display value="Manner of death"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime value="2022-01-08"/>
        <performer>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="7878000"/>
            <display value="Accidental death"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/observation-mdi-cause-of-death-part1-a-freeman"/>
    <resource>
      <Observation>
        <id value="observation-mdi-cause-of-death-part1-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-mdi-cause-of-death-part1-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-mdi-cause-of-death-part1-a-freeman</b></p><a name="observation-mdi-cause-of-death-part1-a-freeman"> </a><a name="hcobservation-mdi-cause-of-death-part1-a-freeman"> </a><a name="observation-mdi-cause-of-death-part1-a-freeman-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69453-9}">Cause of death [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: 2022-01-08</p><p><b>performer</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title="Codes:">Fentanyl toxicity</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs lineNumber}">line number</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69440-6}">Disease onset to death interval</span></p><p><b>value</b>: minutes to hours</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69453-9"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime value="2022-01-08"/>
        <performer>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </performer>
        <valueCodeableConcept>
          <text value="Fentanyl toxicity"/>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
              <code value="lineNumber"/>
            </coding>
          </code>
          <valueInteger value="1"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69440-6"/>
            </coding>
          </code>
          <valueString value="minutes to hours"/>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-a-freeman"/>
    <resource>
      <Observation>
        <id value="vrdr-cause-of-death-part2-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-cause-of-death-part2-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-cause-of-death-part2-a-freeman</b></p><a name="vrdr-cause-of-death-part2-a-freeman"> </a><a name="hcvrdr-cause-of-death-part2-a-freeman"> </a><a name="vrdr-cause-of-death-part2-a-freeman-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69441-4}">Other significant causes or conditions of death</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: 2022-01-08</p><p><b>performer</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title="Codes:">Hypertensive heart disease</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69441-4"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime value="2022-01-08"/>
        <performer>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </performer>
        <valueCodeableConcept>
          <text value="Hypertensive heart disease"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Location/vrdr-death-location-atlanta-ga-a-freeman"/>
    <resource>
      <Location>
        <id value="vrdr-death-location-atlanta-ga-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_vrdr-death-location-atlanta-ga-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Location vrdr-death-location-atlanta-ga-a-freeman</b></p><a name="vrdr-death-location-atlanta-ga-a-freeman"> </a><a name="hcvrdr-death-location-atlanta-ga-a-freeman"> </a><a name="vrdr-death-location-atlanta-ga-a-freeman-en-US"> </a><p><b>identifier</b>: <code>http://www.acme.org/location</code>/29</p><p><b>status</b>: Active</p><p><b>name</b>: Atlanta GA Death Location - Freeman</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}">Death Location</span></p><p><b>address</b>: 400 Windstream Street Atlanta GA US (home)</p></div>
        </text>
        <identifier>
          <system value="http://www.acme.org/location"/>
          <value value="29"/>
        </identifier>
        <status value="active"/>
        <name value="Atlanta GA Death Location - Freeman"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
            <code value="death"/>
          </coding>
        </type>
        <address>
          <use value="home"/>
          <type value="physical"/>
          <line value="400 Windstream Street"/>
          <city value="Atlanta"/>
          <district value="Fulton County"/>
          <state value="GA"/>
          <country value="US"/>
        </address>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Location/vrdr-injury-location-atlanta-ga-a-freeman"/>
    <resource>
      <Location>
        <id value="vrdr-injury-location-atlanta-ga-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_vrdr-injury-location-atlanta-ga-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Location vrdr-injury-location-atlanta-ga-a-freeman</b></p><a name="vrdr-injury-location-atlanta-ga-a-freeman"> </a><a name="hcvrdr-injury-location-atlanta-ga-a-freeman"> </a><a name="vrdr-injury-location-atlanta-ga-a-freeman-en-US"> </a><p><b>identifier</b>: <code>http://www.acme.org/location</code>/29</p><p><b>status</b>: Active</p><p><b>name</b>: Atlanta GA Injury Location - Freeman</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs injury}">Injury Location</span></p><p><b>address</b>: 400 Windstream Street Atlanta GA US (home)</p></div>
        </text>
        <identifier>
          <system value="http://www.acme.org/location"/>
          <value value="29"/>
        </identifier>
        <status value="active"/>
        <name value="Atlanta GA Injury Location - Freeman"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
            <code value="injury"/>
          </coding>
        </type>
        <address>
          <use value="home"/>
          <type value="physical"/>
          <line value="400 Windstream Street"/>
          <city value="Atlanta"/>
          <district value="Fulton County"/>
          <state value="GA"/>
          <country value="US"/>
        </address>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Patient/us-core-patient-a-freeman"/>
    <resource>
      <Patient>
        <id value="us-core-patient-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_us-core-patient-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Patient us-core-patient-a-freeman</b></p><a name="us-core-patient-a-freeman"> </a><a name="hcus-core-patient-a-freeman"> </a><a name="us-core-patient-a-freeman-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">112 Miramar Ct Danville IL (home)</td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>detailed: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2029-7">CDC Race and Ethnicity 2029-7</a>: Asian Indian</li><li>text: Asian Indian</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2029-7"/>
              <display value="Asian Indian"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Asian Indian"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SS"/>
              <display value="Social Security number"/>
            </coding>
            <text value="Social Security number"/>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="987054321"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Freeman"/>
          <given value="Alice"/>
          <given value="J."/>
        </name>
        <gender value="female"/>
        <birthDate value="1978-03-12"/>
        <address>
          <use value="home"/>
          <line value="112 Miramar Ct"/>
          <city value="Danville"/>
          <state value="IL"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/vrdr-tobacco-use-a-freeman"/>
    <resource>
      <Observation>
        <id value="vrdr-tobacco-use-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-tobacco-use-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-tobacco-use-a-freeman</b></p><a name="vrdr-tobacco-use-a-freeman"> </a><a name="hcvrdr-tobacco-use-a-freeman"> </a><a name="vrdr-tobacco-use-a-freeman-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69443-0}">Did tobacco use contribute to death</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 373067005}">No</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69443-0"/>
            <display value="Did tobacco use contribute to death"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime value="2019-12-02"/>
        <performer>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="373067005"/>
            <display value="No"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/vrdr-death-date-a-freeman"/>
    <resource>
      <Observation>
        <id value="vrdr-death-date-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-death-date-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-death-date-a-freeman</b></p><a name="vrdr-death-date-a-freeman"> </a><a name="hcvrdr-death-date-a-freeman"> </a><a name="vrdr-death-date-a-freeman-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 81956-5}">Date+time of death</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: 2022-01-08 15:30:00-0500</p><p><b>performer</b>: <a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></p><p><b>value</b>: 2022-01-08</p><p><b>method</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs approximate}">Approximate</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80616-6}">Date and time pronounced dead [US Standard Certificate of Death]</span></p><p><b>value</b>: 2022-01-08 15:30:00-0500</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 58332-8}">Location of death</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 63238001}">Dead on arrival at hospital</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="81956-5"/>
            <display value="Date+time of death"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime value="2022-01-08T15:30:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/vr-practitioner-s-jones"/>
        </performer>
        <valueDateTime value="2022-01-08"/>
        <method>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs"/>
            <code value="approximate"/>
            <display value="Approximate"/>
          </coding>
        </method>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="80616-6"/>
              <display
                       value="Date and time pronounced dead [US Standard Certificate of Death]"/>
            </coding>
          </code>
          <valueDateTime value="2022-01-08T15:30:00-05:00"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="58332-8"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="63238001"/>
              <display value="Dead on arrival at hospital"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Practitioner/vr-practitioner-s-jones"/>
    <resource>
      <Practitioner>
        <id value="vr-practitioner-s-jones"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_vr-practitioner-s-jones"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner vr-practitioner-s-jones</b></p><a name="vr-practitioner-s-jones"> </a><a name="hcvr-practitioner-s-jones"> </a><a name="vr-practitioner-s-jones-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/3333445555</p><p><b>name</b>: Sam Jones (Official)</p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="3333445555"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Jones"/>
          <given value="Sam"/>
          <prefix value="Dr."/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz"/>
    <resource>
      <Practitioner>
        <id value="us-core-practitioner-jm-lehz"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_us-core-practitioner-jm-lehz"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner us-core-practitioner-jm-lehz</b></p><a name="us-core-practitioner-jm-lehz"> </a><a name="hcus-core-practitioner-jm-lehz"> </a><a name="us-core-practitioner-jm-lehz-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/123456789</p><p><b>name</b>: J.M. Lehz (Official)</p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="123456789"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Lehz"/>
          <given value="J.M."/>
          <prefix value="Dr."/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-a-freeman"/>
    <resource>
      <Observation>
        <id value="vrdr-decedent-pregnancy-status-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-decedent-pregnancy-status-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-decedent-pregnancy-status-a-freeman</b></p><a name="vrdr-decedent-pregnancy-status-a-freeman"> </a><a name="hcvrdr-decedent-pregnancy-status-a-freeman"> </a><a name="vrdr-decedent-pregnancy-status-a-freeman-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69442-2}">Timing of recent pregnancy in relation to death</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>effective</b>: 2022-02-19</p><p><b>performer</b>: <a href="Practitioner-us-core-practitioner-jm-lehz.html">J.M. Lehz</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor NA}">not applicable</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69442-2"/>
            <display value="Timing of recent pregnancy in relation to death"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <effectiveDateTime value="2022-02-19"/>
        <performer>🔗 
          <reference value="Practitioner/us-core-practitioner-jm-lehz"/>
          <display value="J.M. Lehz"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
            <code value="NA"/>
            <display value="not applicable"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Procedure/vrdr-death-certification-a-freeman"/>
    <resource>
      <Procedure>
        <id value="vrdr-death-certification-a-freeman"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_vrdr-death-certification-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Procedure vrdr-death-certification-a-freeman</b></p><a name="vrdr-death-certification-a-freeman"> </a><a name="hcvrdr-death-certification-a-freeman"> </a><a name="vrdr-death-certification-a-freeman-en-US"> </a><p><b>identifier</b>: 180</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 307930005}">Death certificate (record artifact)</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 308646001}">Death certification</span></p><p><b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</a></p><p><b>performed</b>: 2022-01-18 16:39:40-0500</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 455381000124109}">Death certification by medical examiner or coroner (procedure)</span></td><td><a href="Practitioner-vr-practitioner-s-jones.html">Practitioner Sam Jones (official)</a></td></tr></table></div>
        </text>
        <identifier>
          <value value="180"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="307930005"/>
            <display value="Death certificate (record artifact)"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="308646001"/>
            <display value="Death certification"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/us-core-patient-a-freeman"/>
        </subject>
        <performedDateTime value="2022-01-18T16:39:40-05:00"/>
        <performer>
          <function>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="455381000124109"/>
              <display
                       value="Death certification by medical examiner or coroner (procedure)"/>
            </coding>
          </function>
          <actor>🔗 
            <reference value="Practitioner/vr-practitioner-s-jones"/>
          </actor>
        </performer>
      </Procedure>
    </resource>
  </entry>
</Bundle>